Counseling Addicted Families: An Integrated Assessment and Treatment Model

Cover......Page 1
Half Title......Page 2
Endorsement......Page 3
Title Page......Page 4
Copyright Page......Page 5
Table of contents......Page 6
Preface......Page 10
Introduction......Page 12
Helping Clients and Families Understand......Page 13
Clinical Definitions—Can We Agree?......Page 15
Going Beyond Chemicals—The Addictive Disorder......Page 19
Definitions, Diagnoses, and Criteria for the Addictive Disorder......Page 20
Definitions......Page 21
Diagnoses......Page 22
Diagnostic Criteria......Page 23
Opioids......Page 26
Alcohol......Page 27
Stimulants......Page 28
Cannabis......Page 29
“We’ll Do Whatever It Takes!”......Page 30
“I Don’t See the Connection”......Page 31
Don’t Look Below the Surface......Page 33
Ready to Give Up......Page 34
Medicating the Pain......Page 35
“I Must Not Be Pretty Enough”......Page 36
Betting on a Second Chance......Page 38
Caught in the Net......Page 39
Question 1......Page 40
Question 2......Page 41
Question 4......Page 42
Definition 2......Page 43
Question 3 Response......Page 44
Question 5 Response......Page 45
References......Page 46
Introduction......Page 50
Theory, Theory, Theory … Why Can’t We Just Wing It?......Page 52
Moving from Moral to Multifaceted—A Discussion of Addiction Theories......Page 56
Why Don’t They Just Stop?—The Moral Model of Addictive Disorders......Page 57
Clinical Case Example......Page 59
Summary and Integration......Page 60
The Disease/Medical Model......Page 61
Clinical Case Example......Page 64
The Addictive System......Page 66
Summary and Integration......Page 73
Numbing out—The Psychological Theory of Addictive Disorders......Page 75
The Influence of Behavioral Theory......Page 76
Living the Lifestyle: The Addictive Personality......Page 78
Clinical Case Example......Page 79
Summary and Integration......Page 82
Sociological Theory......Page 84
Social Learning Theory......Page 87
Summary and Integration......Page 88
Which Came First, the Chicken or the Egg?—The Bio-Psycho-Social-Spiritual Approach to Addictive Disorders......Page 89
Spirituality and Addiction......Page 90
Clinical Case Example......Page 92
Summary and Integration......Page 99
Conclusion......Page 100
Question 2......Page 103
Question 1 Response......Page 104
Question 2 Response......Page 105
Question 4 Response......Page 106
References......Page 107
Introduction......Page 114
What Is Family Counseling?......Page 116
Common Family Counseling Terms and Constructs......Page 117
Equifinality......Page 118
Homeostasis......Page 119
Family Roles......Page 120
The Family Hero......Page 121
The Scapegoat......Page 122
Family Boundaries......Page 123
The Clinical Family Addictions Assessment......Page 124
The Clinical Family Addictions Assessment Interview......Page 126
Assessment Phases......Page 132
Drug Detection Testing......Page 147
Urine (Immunoassay)......Page 149
Hair (Radioimmunoassay)......Page 151
Saliva......Page 153
Other Drug Detection Testing Methods......Page 154
Therapeutic Use of Drug Detection Testing......Page 155
Sincere Accomplishment Reviews and Compliments......Page 158
When Perceptions Don’t Match......Page 160
Question 2......Page 161
Question 3......Page 162
Question 2 Response......Page 163
Question 4 Response......Page 164
References......Page 165
Introduction......Page 167
Let’s Talk about Change......Page 170
Precontemplation—“It Isn’t That They Can’t See the Solution, They Can’t See the Problem”......Page 171
Contemplation—“We’re Tired of Feeling So Stuck”......Page 172
Action—“We Are Making the Move!”......Page 173
Maintenance—“We Did It! Can we Keep Doing It?”......Page 174
Relapse—“We Went Back to Our Old Ways”......Page 175
Termination—“Is It Really Over? Have We Really Arrived?”......Page 176
The Sequential Family Addictions Model: An Overview......Page 178
Conclusion......Page 180
Question 4......Page 181
Question 2 Response......Page 182
Question 5 Response......Page 183
References......Page 184
Introduction......Page 185
General Overview......Page 186
Motivational Interviewing and Precontemplation......Page 187
Engaging......Page 188
Focusing......Page 191
Evoking......Page 193
Planning......Page 195
Offering Feedback......Page 197
MI-Based Brief Intervention......Page 199
Summary......Page 202
General Overview......Page 203
Solution-Focused and Contemplation......Page 205
Problem Definition......Page 206
Joining......Page 207
Setting Goals......Page 208
Identifying Exceptions......Page 211
Scaling Questions......Page 213
Homework......Page 214
Conclusion......Page 215
Question 2......Page 216
Question 5......Page 217
Question 2 Response......Page 218
Question 4 Response......Page 219
References......Page 220
Introduction......Page 221
General Overview......Page 222
Structural Family Counseling and Pre-Contemplation/Contemplation......Page 226
Identifying Structural Patterns......Page 228
Strengthening/Loosening Subsystem and System Boundaries and Unbalancing Systems......Page 229
General Overview......Page 237
Interventions......Page 238
Antecedents......Page 239
Behaviors......Page 241
Consequences......Page 243
Exploring New and Healthier Patterns......Page 247
Question 1......Page 251
Question 4......Page 252
Question 2 Response......Page 253
Question 4 Response......Page 254
References......Page 255
Learning Objectives......Page 257
Why These Theories Work in Action, Maintenance, and Relapse......Page 258
General Overview......Page 260
Interventions......Page 264
General Overview......Page 272
Interventions......Page 274
Preparing for the Meeting......Page 275
Engaging in the Meeting......Page 277
Processing the Meeting......Page 280
General Overview......Page 281
Interventions......Page 284
Conclusion......Page 288
Question 3......Page 289
Question 1 Responses......Page 290
Question 3 Responses......Page 291
References......Page 292
Learning Objectives......Page 294
Counseling Non-Addicted Family Members......Page 295
Stigmatization and Discrimination toward Addicted Family Systems......Page 303
Ignorance Is No Excuse......Page 304
Suicide Assessment......Page 307
The Event and Frequency......Page 308
Assessment......Page 309
The SAD PERSONS Scale......Page 310
Jenny’s SAD PERSONS Scale Vignette......Page 311
Four SAD PERSONS Scale Red Flags......Page 314
Post-Assessment Interventions......Page 315
Low SPS Scores......Page 318
Forgiveness......Page 320
Resistance to Forgiveness......Page 321
Readiness for Forgiveness......Page 323
Facilitating Forgiveness Work......Page 324
Conclusion......Page 327
Question Set 1—Social Justice......Page 328
Question Set 2—Forgiveness......Page 329
Question Set 1—Social Justice Answers......Page 330
Question Set 2—Forgiveness Answers......Page 331
Question Set 3—Suicide Assessment Answers......Page 332
References......Page 333
Index......Page 335